CAJ | 학술논문

目的：测量舟骨骨折线夹角和X线形态，探讨舟骨形态在损伤时与桡骨远端尺倾关节面夹角的相关性，为临床提供可靠的影像学依据。方法：对100例舟骨骨折线与桡骨远端尺倾关节面所成的角度和两端长度及宽度进行测量分型。结果：骨折夹角最大70°，最小20°，其中Ⅰ型30～50°者82例，Ⅱ型50°以上10例，Ⅲ型30°以下8例。舟骨X线形态：细长型82例，粗短型11例，不规则型7例。结论：粗短型舟骨损伤后骨折夹角较大在50～70°之间，多见于舟骨远端。细长型夹角在30～50°之间，好发腰部。不规则型舟骨夹角在30°以下，常见在近端多合并翻转或其它腕骨多发性损伤。
목적：측량주골골절선협각화X선형태，탐토주골형태재손상시여뇨골원단척경관절면협각적상관성，위림상제공가고적영상학의거。방법：대100례주골골절선여뇨골원단척경관절면소성적각도화량단장도급관도진행측량분형。결과：골절협각최대70°，최소20°，기중Ⅰ형30～50°자82례，Ⅱ형50°이상10례，Ⅲ형30°이하8례。주골X선형태：세장형82례，조단형11례，불규칙형7례。결론：조단형주골손상후골절협각교대재50～70°지간，다견우주골원단。세장형협각재30～50°지간，호발요부。불규칙형주골협각재30°이하，상견재근단다합병번전혹기타완골다발성손상。
Objective:To meansure the clip-angle and X-ray patterns ofscaphoid fracture,to study the correlativity of scaphoid pattern and the clip-angle of distal joint-surface in trauma of wrist,so that to provide the imaging key for clinic.Methods:The clip-angle between the scaphoid fracture line and the joint face of the lower end of radius,the length of both end and width of scaphord were measared and clasified in 100 cases with scaphoid fractnre.Results:The greatest fracture clip-angle 70 degree and smalles one was 20 degree,among them Ⅰ type was in 82 cases(30～50 degree),Ⅱ type was in 10 cases(50 degree)and Ⅲ type was in 8 cases(30 degree).The X-ray pattern of scaphoid:thin and longer type were in 82 cases,thick and shorter type were in 11 cases and irregular type was in 7 cases.Conclusion:In the thick and shorter type,the fracture clip-angle is 50～70 degree,usually see in distal end of scaphoid.In the thin and longer type,the clip-angle is 30～50 degree,and usually see in waist.In the irregular type,the clip-angle is below 30 degree,usually see in proximal end and ofthe combine with reverse or multiple trauma of othen carpal bone.